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 PostWysłany: Nie 19:36, 27 Mar 2011    Temat postu: tory burch shoes pfz ddc jvwj yzb Back to top

38 patients with refractory pulmonary infection after bronchoscopy local efficacy of lung lavage in paragraph


From April 1996 March 2002 l1, of 38 patients with pulmonary infections refractory fiber mirror bronchial lavage (BAL), to obtain satisfactory results, including 23 males and 15 females, aged from 20 to 65 years old, with hemoptysis in 12 cases, 5 cases of more than 2 lavage, are summarized below. A method of routine bronchial fiber mirror (branch fiber mirror) check and found that lesion location,[link widoczny dla zalogowanych], to 0.9% saline (saline or 0.5% metronidazole) lOOml + lincomycin 0.6 + INH (isoniazid) 0.2, local lavage. Lavage after oral or intravenous antibiotics combined with conventional 3d. 2 within 1 month of observation of clinical symptoms significantly improved, hemoptysis stopped. x ray returned to normal for the short term. More than six months without recurrence, x ray normal, clinical symptoms, for the medium-term effective,[link widoczny dla zalogowanych], more than 1 year without recurrence, x-ray normal, for the long term. (The group did not fully do long-term observation). Table 1 Tang those conditions before lavage and treatment conditions (all cases. Symptoms can be re children. If cough,[link widoczny dla zalogowanych], hemoptysis Canada, etc.) Table 2, after treatment, short-term efficacy of lavage Richard (1 month) effective (significant improvement + improvement), the total number × 100%, markedly effective rate = marked improvement / total × 100%,[link widoczny dla zalogowanych], total effective rate was 95%. The total effective rate 89.2%. Table 3 lavage after 6 months of treatment efficacy half of the total effective rate was 90%, the total effective rate of 78%. 3 Results analysis and discussion of chronic lung infections are a serious cough, purulent sputum, and some have slightly Author: Loudi tin thee Heart Hospital (417 500) of blood, were examined by repeated antibiotic therapy,[link widoczny dla zalogowanych], efficacy is poor, seriously affect the quality of life. According to the information reported conventional antimicrobial treatment rate was 50% to 60%, markedly effective rate was 40% to 50% of cases treated with this method the efficiency of short-term 95%, markedly effective rate was 89.2%, the effective rate of 90% medium-term efficacy , markedly effective rate 78%, significantly higher than conventional therapy, is a good treatment. Bronchial lavage lung segment fiber mirror that of local lesions direct drug treatment, drug concentration high, good effect, and by local irrigation, have cited the role of discharging fever, worthy of further promotion and application. Typical case Zhu × ×, F, 60 years old, the Council retired workers, have bronchiectasis, chronic cough purulent sputum, cough, long-term repeated in the outpatient treatment, no significant improvement in the disease, in 2001, 3 l0 menstrual symptoms disappeared after lavage , the condition improved markedly, x ray returned to normal, almost a year recurrence. 4 disadvantages of this method to be supported by conventional fiber endoscopy, the patient has some pain, severe heart and lung function of patients can not tolerate difference. 【
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